Destiny International Care Ltd is a domiciliary care agency registered to provide personal care to people in their own homes. At the time of this inspection the service supported seven people with personal care and employed six care staff.

The office visit of this inspection took place on 20 September 2018 and was announced. This was the first inspection of the service following their registration with us in April 2016.

A requirement of the provider’s registration is that they have a registered manager. There was a registered manager in post at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The registered manager was also an owner of the company, and the providers ‘nominated individual’ for the service.

People received care which protected them from avoidable harm and abuse. Staff understood people’s needs and knew how to protect them from the risk of abuse. Risks to people’s safety were identified and assessments were in place to reduce or manage risks. The provider’s recruitment procedure made sure staff were suitable to work with people who used the service. People received their prescribed medicines from staff who had completed training to do this safely.

People had an assessment completed at the start of their service to make sure staff could meet their care and support needs. Staff received an induction when they started working for the service and completed training that provided them with the skills and knowledge to support people’s needs.

The registered manager understood the principles of the Mental Capacity Act. Staff asked for people’s consent before they provided care and respected decisions people made about their care and support. When needed, arrangements were in place to support people to have enough to eat and drink and remain in good health.

People received care from staff who they considered to be kind and caring, and who stayed long enough to provide the care and support people required. Staff knew people well as they visited the same people regularly. Staff promoted people’s privacy and dignity and people received care and support which was individual to them.

Care plans were detailed and provided guidance for staff about how to support each person in the way they preferred. People’s care and support needs were kept under review and staff responded when there were changes in these needs. People knew how to complain, and information about making a complaint was available for people.

Staff understood their roles and responsibilities and said they had individual meetings and observations of their practice to make sure they carried these out safely. There were processes for assessing and monitoring the quality of the service. This included feedback from people which assisted the provider in making improvements to the service.